Provider Demographics
NPI:1194087676
Name:SOLER, TONI-ANNE (MA)
Entity type:Individual
Prefix:
First Name:TONI-ANNE
Middle Name:
Last Name:SOLER
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:66 IMPERIAL DR
Mailing Address - Street 2:
Mailing Address - City:MILLER PLACE
Mailing Address - State:NY
Mailing Address - Zip Code:11764-3223
Mailing Address - Country:US
Mailing Address - Phone:631-335-7662
Mailing Address - Fax:
Practice Address - Street 1:66 IMPERIAL DR
Practice Address - Street 2:
Practice Address - City:MILLER PLACE
Practice Address - State:NY
Practice Address - Zip Code:11764-3223
Practice Address - Country:US
Practice Address - Phone:631-335-7662
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-06-11
Last Update Date:2012-06-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist